Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Minoo Pakdaman

Individual provider Clinical Social Worker · NPI 1356972368

Minoo Pakdaman is a Clinical Social Worker in Fairfax, Virginia. Qualified in 2009, 17 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2020
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Practice location Address checks out

4290 Birney Ln
Fairfax, VA 22033-4333
Phone: (703) 310-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904011214 (VA)

Record details

NPI number1356972368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfax